Functional Outcome of Surgical Management of Tibial Plateau Fractures: A Study in a Tertiary Care Hospital

Md. Nazibullah; Md. Tariqul Islam; Tapas Kumer Talukder; A. K. M. Shaharul Islam

doi:doi:10.11648/j.ajbls.20210901.17

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Functional Outcome of Surgical Management of Tibial Plateau Fractures: A Study in a Tertiary Care Hospital

Md. Nazibullah, Md. Tariqul Islam, Tapas Kumer Talukder, A. K. M. Shaharul Islam

Published in American Journal of Biomedical and Life Sciences (Volume 9, Issue 1)

Received: 8 November 2020 Accepted: 13 January 2021 Published: 30 January 2021

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Abstract

Background: Tibial plateau fractures are serious injuries resulting frequently in functional impairment. Low and high-energy tibial plateau fractures usually result from axial loading in combination with valgus stress forces, present a variety of soft tissue and bony injuries that can produce permanent disabilities. Since there are various modalities for fixation of these fractures with satisfactory results, but there is no general consensus as to which modality is the best in terms of functional outcome and proving the superiority of one over the other. Aim of the study: The aim of this study was to evaluate the functional outcome of surgical management of tibial plateau fractures. Methods: It was a prospective observational study and it was conducted in the Department of Orthopaedics & Traumatology, TMSS Medical College, Bogura, Bangladesh during the period from January 2018 to December 2018. The total of cases included in the study was 56 in number. More than 20 years old patients of both sexes with tibial plateau fractures attended to the mentioned hospital during the first six months of the study were selected as the study population. All simple or Gustilo Anderson Grade I fractures of tibial plateau presenting in patients requiring open or closed reduction and internal fixation to restore the articular anatomy were finalized for this study. Result: In this study among total 56 participants 37 were male which was 66.07% and 19 were female which was 33.93%. On the other hand in this study we found satisfactory outcome in 50 patients which was 89.29% and not satisfactory in 6 patients which was 10.71% among all the participants. Final end result as per Rasmussen’s criteria was excellent in 34 (60.71%), good in 9 (16.07%), fair in 7 (12.50%) and poor in 6 (10.71%) patients. Conclusion: In this study we found satisfactory outcome in 50 patients which was 89.29% and not satisfactory in 6 patients which was 10.71% among all the participants. These findings may be helpful for the future researchers for any further research in the same issue.

Published in	American Journal of Biomedical and Life Sciences (Volume 9, Issue 1)
DOI	10.11648/j.ajbls.20210901.17
Page(s)	53-57
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Tibial Plateau Fractures, Axial, Gustilo Anderson Grade, Schatzker Classification

References

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[2]	Barr JS. The treatment of fracture of the EXTERNAL tibial condyle: (Bumper fracture). J American Med Assoc. 1940; 115 (20): 1683-7.
[3]	Apley AG. Fractures of tibial plateau. Clin Orthop North Am. 1979; 10: 61-74.
[4]	Ali AM, El-Shafie M, Willet KM. Failure of fixation of tibial plateau fractures. J Orthop Trauma. 2002; 16 (5): 323-9.
[5]	Stevens DG, Beharry R, McKee MD, Waddell JP, Schemitsch EH. The long-term functional outcome of operatively treated tibial plateau fractures. J Orthop Trauma. 2001; 15 (5): 312-20.
[6]	Schatzer J, McBroom R, Bruce D. The tibial plateau fracture: the Toronto experience 1968-1975. Clin Orthop. 1979; 138: 94-104.
[7]	Keogh P, Kelly C, Cashman WF, McGuinness AJ, O’Rourke SK. Percutaneous screw fixation of tibial plateau fractures. Injury. 1992; 23 (6): 387-9.
[8]	Mikulak SA, Gold SM, Zinar DM. Small wire external fixation of high energy tibial plateau fractures. Clin Orthop Relat Res. 1988; 356: 230-8.
[9]	Fyshe TG. Fractures of tibial condyles. Canadian Med Assoc J. 1952; 67 (2): 103.
[10]	Savoie FH, Vander Griend RA, Ward EF, Hughes JL. Tibial plateau fractures. A review of operative treatment using AO technique. Orthoped. 1987; 10 (5): 745-50.
[11]	Rasmussen PS. Tibial condyle fractures. Impairment of knee joint stability and indication for surgical intervention. J Bone Joint Surg Am. 1973; 55 (7): 1331-50.
[12]	De Mourgues G, Chiax D. Treatment of tibial plateau fractures. Rev Chir orthop Reparatrice Mot. 1969; 55 (6): 575-6.
[13]	Honkonen SE. Indications for surgical treatment of tibial condyle fractures. Clin Orthop Relat Res. 1994; 302: 199-205.
[14]	Burri C, Bartzke G, Coldewey J, Mugglar E. Fractures of tibial plateau. Clin Orthop Relat Res. 1979; 138: 84-93.
[15]	Bowes DN, Hohl M. Tibial condyle fractures. Evaluation of treatment and outcome. Clin Orthop Relat Res. 1982; 171: 104-8.
[16]	Ebraheim NA, Sabry FF, Haman SP. Open reduction and internal fixation of 117 tibial plateau fractures. Ortho Blue Journal. 2004; 27 (12): 1281-7.

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Md. Nazibullah, Md. Tariqul Islam, Tapas Kumer Talukder, A. K. M. Shaharul Islam. (2021). Functional Outcome of Surgical Management of Tibial Plateau Fractures: A Study in a Tertiary Care Hospital. American Journal of Biomedical and Life Sciences, 9(1), 53-57. https://doi.org/10.11648/j.ajbls.20210901.17

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Md. Nazibullah; Md. Tariqul Islam; Tapas Kumer Talukder; A. K. M. Shaharul Islam. Functional Outcome of Surgical Management of Tibial Plateau Fractures: A Study in a Tertiary Care Hospital. Am. J. Biomed. Life Sci. 2021, 9(1), 53-57. doi: 10.11648/j.ajbls.20210901.17

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AMA Style

Md. Nazibullah, Md. Tariqul Islam, Tapas Kumer Talukder, A. K. M. Shaharul Islam. Functional Outcome of Surgical Management of Tibial Plateau Fractures: A Study in a Tertiary Care Hospital. Am J Biomed Life Sci. 2021;9(1):53-57. doi: 10.11648/j.ajbls.20210901.17

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@article{10.11648/j.ajbls.20210901.17,
  author = {Md. Nazibullah and Md. Tariqul Islam and Tapas Kumer Talukder and A. K. M. Shaharul Islam},
  title = {Functional Outcome of Surgical Management of Tibial Plateau Fractures: A Study in a Tertiary Care Hospital},
  journal = {American Journal of Biomedical and Life Sciences},
  volume = {9},
  number = {1},
  pages = {53-57},
  doi = {10.11648/j.ajbls.20210901.17},
  url = {https://doi.org/10.11648/j.ajbls.20210901.17},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajbls.20210901.17},
  abstract = {Background: Tibial plateau fractures are serious injuries resulting frequently in functional impairment. Low and high-energy tibial plateau fractures usually result from axial loading in combination with valgus stress forces, present a variety of soft tissue and bony injuries that can produce permanent disabilities. Since there are various modalities for fixation of these fractures with satisfactory results, but there is no general consensus as to which modality is the best in terms of functional outcome and proving the superiority of one over the other. Aim of the study: The aim of this study was to evaluate the functional outcome of surgical management of tibial plateau fractures. Methods: It was a prospective observational study and it was conducted in the Department of Orthopaedics & Traumatology, TMSS Medical College, Bogura, Bangladesh during the period from January 2018 to December 2018. The total of cases included in the study was 56 in number. More than 20 years old patients of both sexes with tibial plateau fractures attended to the mentioned hospital during the first six months of the study were selected as the study population. All simple or Gustilo Anderson Grade I fractures of tibial plateau presenting in patients requiring open or closed reduction and internal fixation to restore the articular anatomy were finalized for this study. Result: In this study among total 56 participants 37 were male which was 66.07% and 19 were female which was 33.93%. On the other hand in this study we found satisfactory outcome in 50 patients which was 89.29% and not satisfactory in 6 patients which was 10.71% among all the participants. Final end result as per Rasmussen’s criteria was excellent in 34 (60.71%), good in 9 (16.07%), fair in 7 (12.50%) and poor in 6 (10.71%) patients. Conclusion: In this study we found satisfactory outcome in 50 patients which was 89.29% and not satisfactory in 6 patients which was 10.71% among all the participants. These findings may be helpful for the future researchers for any further research in the same issue.},
 year = {2021}
}

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TY - JOUR
T1 - Functional Outcome of Surgical Management of Tibial Plateau Fractures: A Study in a Tertiary Care Hospital
AU - Md. Nazibullah
AU - Md. Tariqul Islam
AU - Tapas Kumer Talukder
AU - A. K. M. Shaharul Islam
Y1 - 2021/01/30
PY - 2021
N1 - https://doi.org/10.11648/j.ajbls.20210901.17
DO - 10.11648/j.ajbls.20210901.17
T2 - American Journal of Biomedical and Life Sciences
JF - American Journal of Biomedical and Life Sciences
JO - American Journal of Biomedical and Life Sciences
SP - 53
EP - 57
PB - Science Publishing Group
SN - 2330-880X
UR - https://doi.org/10.11648/j.ajbls.20210901.17
AB - Background: Tibial plateau fractures are serious injuries resulting frequently in functional impairment. Low and high-energy tibial plateau fractures usually result from axial loading in combination with valgus stress forces, present a variety of soft tissue and bony injuries that can produce permanent disabilities. Since there are various modalities for fixation of these fractures with satisfactory results, but there is no general consensus as to which modality is the best in terms of functional outcome and proving the superiority of one over the other. Aim of the study: The aim of this study was to evaluate the functional outcome of surgical management of tibial plateau fractures. Methods: It was a prospective observational study and it was conducted in the Department of Orthopaedics & Traumatology, TMSS Medical College, Bogura, Bangladesh during the period from January 2018 to December 2018. The total of cases included in the study was 56 in number. More than 20 years old patients of both sexes with tibial plateau fractures attended to the mentioned hospital during the first six months of the study were selected as the study population. All simple or Gustilo Anderson Grade I fractures of tibial plateau presenting in patients requiring open or closed reduction and internal fixation to restore the articular anatomy were finalized for this study. Result: In this study among total 56 participants 37 were male which was 66.07% and 19 were female which was 33.93%. On the other hand in this study we found satisfactory outcome in 50 patients which was 89.29% and not satisfactory in 6 patients which was 10.71% among all the participants. Final end result as per Rasmussen’s criteria was excellent in 34 (60.71%), good in 9 (16.07%), fair in 7 (12.50%) and poor in 6 (10.71%) patients. Conclusion: In this study we found satisfactory outcome in 50 patients which was 89.29% and not satisfactory in 6 patients which was 10.71% among all the participants. These findings may be helpful for the future researchers for any further research in the same issue.
VL - 9
IS - 1
ER -

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Author Information

Md. Nazibullah

Department of Orthopaedics & Traumatology, TMSS Medical College, Bogura, Bangladesh
Md. Tariqul Islam

Department of Orthopaedics & Traumatology, TMSS Medical College, Bogura, Bangladesh
Tapas Kumer Talukder

Department of Ortho Surgery, Shaheed Ziaur Rahman Medical College, Bogura, Bangladesh
A. K. M. Shaharul Islam

Department of Orthopaedics & Traumatology, TMSS Medical College, Bogura, Bangladesh

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APA Style

Md. Nazibullah, Md. Tariqul Islam, Tapas Kumer Talukder, A. K. M. Shaharul Islam. (2021). Functional Outcome of Surgical Management of Tibial Plateau Fractures: A Study in a Tertiary Care Hospital. American Journal of Biomedical and Life Sciences, 9(1), 53-57. https://doi.org/10.11648/j.ajbls.20210901.17

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ACS Style

Md. Nazibullah; Md. Tariqul Islam; Tapas Kumer Talukder; A. K. M. Shaharul Islam. Functional Outcome of Surgical Management of Tibial Plateau Fractures: A Study in a Tertiary Care Hospital. Am. J. Biomed. Life Sci. 2021, 9(1), 53-57. doi: 10.11648/j.ajbls.20210901.17

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AMA Style

Md. Nazibullah, Md. Tariqul Islam, Tapas Kumer Talukder, A. K. M. Shaharul Islam. Functional Outcome of Surgical Management of Tibial Plateau Fractures: A Study in a Tertiary Care Hospital. Am J Biomed Life Sci. 2021;9(1):53-57. doi: 10.11648/j.ajbls.20210901.17

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@article{10.11648/j.ajbls.20210901.17,
  author = {Md. Nazibullah and Md. Tariqul Islam and Tapas Kumer Talukder and A. K. M. Shaharul Islam},
  title = {Functional Outcome of Surgical Management of Tibial Plateau Fractures: A Study in a Tertiary Care Hospital},
  journal = {American Journal of Biomedical and Life Sciences},
  volume = {9},
  number = {1},
  pages = {53-57},
  doi = {10.11648/j.ajbls.20210901.17},
  url = {https://doi.org/10.11648/j.ajbls.20210901.17},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajbls.20210901.17},
  abstract = {Background: Tibial plateau fractures are serious injuries resulting frequently in functional impairment. Low and high-energy tibial plateau fractures usually result from axial loading in combination with valgus stress forces, present a variety of soft tissue and bony injuries that can produce permanent disabilities. Since there are various modalities for fixation of these fractures with satisfactory results, but there is no general consensus as to which modality is the best in terms of functional outcome and proving the superiority of one over the other. Aim of the study: The aim of this study was to evaluate the functional outcome of surgical management of tibial plateau fractures. Methods: It was a prospective observational study and it was conducted in the Department of Orthopaedics & Traumatology, TMSS Medical College, Bogura, Bangladesh during the period from January 2018 to December 2018. The total of cases included in the study was 56 in number. More than 20 years old patients of both sexes with tibial plateau fractures attended to the mentioned hospital during the first six months of the study were selected as the study population. All simple or Gustilo Anderson Grade I fractures of tibial plateau presenting in patients requiring open or closed reduction and internal fixation to restore the articular anatomy were finalized for this study. Result: In this study among total 56 participants 37 were male which was 66.07% and 19 were female which was 33.93%. On the other hand in this study we found satisfactory outcome in 50 patients which was 89.29% and not satisfactory in 6 patients which was 10.71% among all the participants. Final end result as per Rasmussen’s criteria was excellent in 34 (60.71%), good in 9 (16.07%), fair in 7 (12.50%) and poor in 6 (10.71%) patients. Conclusion: In this study we found satisfactory outcome in 50 patients which was 89.29% and not satisfactory in 6 patients which was 10.71% among all the participants. These findings may be helpful for the future researchers for any further research in the same issue.},
 year = {2021}
}

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